# BRUCE A CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235360330
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CCS4213 | ME | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LC3827 | ME | Yes |
| 101YM0800X | Mental Health Counselor | LC12059 | ME | — |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 433697199 | — | ME |